NPI age
19 years
Enumerated 2007-05-02
Across 15966 active family medicine providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | 436860044 | SWEDISHAMERICAN MEDICARE PIN |
| 01 (TX) | P01198723 | MEDICARE RAILROAD |
| 05 (TX) | 318484801 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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